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Nationwide rates for HCPCS 42890

Limited pharyngectomy

Facilitymedian $5,623 · 10th–90th $1,549$15,1360%10%20%10th90th$5,623Professionalmedian $1,820 · 10th–90th $1,175$5,1290%20%10th90th$1,820$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $5,754.40 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $7,762.47 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,311.31 / $8,128.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $6,309.57 / $15,488.17